# KEADY FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366826828
- **Authorized official:** JAMES KEADY (OWNER)
- **Authorized official phone:** (603) 863-7777

## Contact information

- **Practice address:** 71 BELKNAP AVE, NEWPORT, NH 03773-1536
- **Practice address phone:** (603) 863-7777
- **Mailing address:** PO BOX 93, CHARLESTOWN, NH 03603-0093
- **Mailing address phone:** (603) 863-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 05253223 | NH | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 07/20/2015